Provider Demographics
NPI:1689848319
Name:AVOYELLES FAMILY CARE
Entity Type:Organization
Organization Name:AVOYELLES FAMILY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTA
Authorized Official - Middle Name:
Authorized Official - Last Name:RACHAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-449-7821
Mailing Address - Street 1:4239 HIGHWAY 1192 STE 100
Mailing Address - Street 2:
Mailing Address - City:MARKSVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71351-4772
Mailing Address - Country:US
Mailing Address - Phone:318-253-5600
Mailing Address - Fax:318-253-5602
Practice Address - Street 1:4239 HIGHWAY 1192 STE 100
Practice Address - Street 2:
Practice Address - City:MARKSVILLE
Practice Address - State:LA
Practice Address - Zip Code:71351-4772
Practice Address - Country:US
Practice Address - Phone:318-253-5600
Practice Address - Fax:318-253-5602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-14
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty